Your privacy matters
Your privacy is important to us. Do not include any information that identifies a friend, family member or other person in your responses. If you choose to provide personal information in this form, the information will be handled according to our Privacy Statement.
By clicking the submit button at the bottom of this form, you are indicating that you consent to the ministry’s collection of the personal information you have provided.
The ministry’s collection of this personal information is necessary for the proper administration of the provincial patient advisor initiative. It will be used by the ministry only for the purpose of asking for your feedback on certain policies and programs that affect patients and their families, inviting you to participate in patient and family engagement events, and keeping you up to date on patient engagement opportunities.
Your information will not be placed on mailing lists or released to any third party, except as may be authorized by law.
If you have any questions about the ministry’s collection or use of this information, please contact the Manager, Health System Quality and Funding Division, Ministry of Health and Long-Term Care:
Hepburn Block 5th Floor- 80 Grosvenor St
Toronto ON M7A 1R3